In a surprise reversal, Republican Congressman Derrick Van Orden voted for a three-year extension of enhanced Affordable Care Act tax credits despite previously calling for the law to be repealed.

The post Van Orden sides with Democrats on ACA subsidy extension vote appeared first on WPR.

Bills under consideration aim to ensure cost doesn't stop incarcerated Wisconsinites from having access to basic hygiene products, including pads and tampons.

The post Lawmakers aim to make menstrual products free for Wisconsinites locked up in jails, prisons appeared first on WPR.

The Wisconsin Department of Health Services announced Thursday that it continues to recommend the "evidence-based childhood vaccine schedule" from the American Academy of Pediatrics.

The post DHS: Wisconsin kids should continue to get recommended vaccines despite federal change appeared first on WPR.

Preliminary findings from researchers show a decline in antibody levels among Wisconsin eaglets with high PFAS levels in their blood, potentially reducing their ability to fight off infections.

The post High PFAS levels in Wisconsin eaglets may reduce their ability to fend off illness appeared first on WPR.

Wisconsin health leaders say they are "greatly concerned" about the new vaccine guidelines released Monday by the federal government.

The post Wisconsin health leaders balk at new US vaccine recommendations for children appeared first on WPR.

Although this year’s flu vaccine isn’t a perfect match for a new strain of the virus, it can still help prevent people from getting seriously ill. A Wisconsin doctor explains the risks and what people can do to stay safe.

The post Flu vaccines still effective despite new strain, UW-Madison doctor says appeared first on WPR.

Sarah Simmons, a midwife and co-owner of Maple Street Birth Center in rural Okanogan County, Wash., holds a newborn. Freestanding birth centers can address maternal health inequities, but many are facing mounting financial and regulatory pressures. (Photo courtesy of Sarah Simmons)

Dr. Heather Skanes opened Alabama’s first freestanding birth center in 2022 in her hometown of Birmingham. Skanes, an OB-GYN, wanted to improve access to maternal health care in a state that’s long had one of the nation’s highest rates of maternal and infant mortality.

Those rates are especially high among Black women and infants. Skanes’ Oasis Family Birthing Center opened in a majority-Black neighborhood, offering midwifery services as well as medical care.

But about six months after the center’s first delivery — a girl who was Alabama’s first baby born in a freestanding birth center — the state health department ordered Skanes to shut it down. A department representative informed her that by holding deliveries at the birth center, she was operating an “unlicensed hospital,” she said.

Hospital labor and delivery units are shuttering across the nation — including more than two dozen in 2025 alone. Freestanding birth centers like Skanes’ could help fill the gaps, but they too are struggling to stay open.

They face some of the same financial pressures that bedevil hospitals’ labor and delivery units, including payments from insurers that don’t cover the full cost of providing maternity care.

Birth center owners also must contend with arcane state rules and antipathy from politically powerful hospitals that view them as competition, especially in rural areas with few births.

Nationwide, the number of freestanding birth centers doubled between 2012 and 2022, but more recently the pressures have taken a toll: About two dozen centers have closed since 2023, bringing the total number down to about 395, according to the most recent data from the American Association of Birth Centers.

In November, Pennsylvania Lifecycle Wellness and Birth Center announced it would shut down birth center services, citing pressure from regulatory challenges and sharp surges in malpractice premiums. It had served Philadelphia for 47 years. And New Mexico’s longest-operating freestanding birth center stopped delivering babies in December.

“When a new business opens, within the first three to five years you expect a certain number will close,” said Kate Bauer, executive director of the American Association of Birth Centers. “But we’ve had several long-standing birth centers close [in 2025] and that hits particularly hard.”

In California, which has some of the strictest birth center licensing rules in the country, concern over the closure of at least 19 birth centers between 2020 and 2024 prompted the state legislature to pass a law in October to streamline birth center licensure.

An appealing alternative

Freestanding birth centers are not attached to hospitals and aim to provide a more homelike, less traditional medical setting. They employ midwives and focus on low-risk pregnancies and births. Some also have an OB-GYN or family medicine doctor on staff, and they often have partnerships with nearby hospitals and doctors if more specialized care is required.

Some Black and Indigenous midwives and doulas say birth centers can be helpful alternatives to their community members, many of whom have had experiences in more medicalized settings that left them feeling marginalized, dismissed or unsafe.

Midwife Jamarah Amani, executive director of Southern Birth Justice Network, runs a mobile midwifery clinic serving majority-Black and Latino neighborhoods in Miami-Dade County, Florida. The nonprofit, which aims to make midwife and doula care more accessible, recently bought a building for a freestanding birth center it aims to open in 2027.

“[Midwifery] presents like a luxury concierge-type of service, and our goal is to really change that and to bring it back to the community in a very grassroots way,” Amani said. She added that expanding access to prenatal care could help address inequities in maternal health, as maternal death rates among Black women are three times higher than those among white women.

Freestanding birth centers also can be a solution for communities without a hospital nearby.

The closest hospital to the Colville Indian Reservation, located in northern Washington state, is half an hour away, said Faith Zacherle-Tonasket, founder of the nonprofit xa?xa? Indigenous Birth Justice.

So far, the group has trained nearly a dozen tribal doulas and midwives to serve the area. In the next few years, it plans to open a freestanding birth center. Zacherle-Tonasket said Indigenous-run birth centers are crucial alternatives for tribal women, who also have some of the highest maternal mortality rates in the nation and often face prejudice in clinical settings.

“They don’t feel safe. So a lot of them just don’t get prenatal care,” said Zacherle-Tonasket. “Bringing traditional midwives that are from our own communities, that were born and raised in our communities, that know the families — we know that those babies will be birthed with love.”

Regulatory hurdles

When the Georgia legislature relaxed state health care regulations in 2024, it felt like a long-awaited win for Katie Chubb. A registered nurse and mother of three who’s worked in health and nonprofits, Chubb has spent years trying to open a birth center in Augusta.

The state denied her application to open the center in 2021. Georgia, like many states, requires health care providers to get state approval, called a certificate of need, before they can build a new facility or expand services. Rival providers, like other hospitals, can challenge an application, effectively vetoing their local competition.

That happened in Chubb’s case: Two local hospitals filed letters of opposition against her and refused to say they’d accept emergency transfers from her birth center, another requirement for opening.

Georgia currently has three freestanding birth centers, a fraction of the more than two dozen that operate in neighboring Florida.

“We’re seeing women giving birth in hospital hallways or at home unassisted, because there’s no in-between option like a birth center,” Chubb said. In October, Georgia lost another labor and delivery unit at a rural hospital two hours north of Augusta.

“Women are just left to figure things out.”

In Kentucky, the Republican-controlled legislature passed a bill in March that aimed to clear the way for freestanding birth centers by exempting them from the certificate of need process.

But Republican lawmakers attached a last-minute anti-abortion amendment to the bill, prompting Democratic Gov. Andy Beshear to veto it. The legislature eventually overrode his veto. Midwifery advocates hope the new law will help make it easier to open a birth center in the state.

Georgia legislators similarly revised Georgia’s certificate of need rules in 2024, exempting freestanding birth centers. Chubb, who championed the new law, hoped it would clear the path for herself and others.

But they hit another roadblock. The state still requires birth centers to secure a written agreement with a local hospital to accept transfers of clients in emergencies. Chubb and at least one other prospective birth center owner have been unable to get their local hospitals to sign such transfer agreements.

“We’re still fighting,” Chubb said. “Behind closed doors we’re still working very hard on getting legislation and regulations changed to make opening birth centers more equitable.”

Some hospitals view birth centers as a threat to the viability of their labor and delivery units, siphoning off patients and revenue from a service that’s already unprofitable for most hospitals.

Daniel Grigg, CEO of Wallowa Memorial Hospital, a 25-bed critical access hospital in northeast Oregon, said there aren’t enough births in the area for both hospitals and birth centers.

“When you’ve got a small-volume community like we have, every birth helps the providers keep their skills up and their competency,” he said. “When you’ve got a midwife taking, say, 10 patients out of that pool,” it can have an impact on physicians and hospitals.

Alabama lawsuit

After the Alabama Department of Public Health shut down Skanes’ birth center in 2023, she joined with two other women who had also been attempting to open birth centers in Alabama: Dr. Yashica Robinson, an OB-GYN in North Alabama, and Stephanie Mitchell, a licensed midwife in Alabama’s rural and economically disadvantaged Black Belt region. Together they sued the Alabama Department of Public Health over what they called a de facto ban on birth centers.

The state insisted its tighter regulations would ensure that birth center facilities are safe. The birth center owners said the state’s rules were overly burdensome and clinically unnecessary for the low-risk, nonsurgical births that are attended by midwives. And, they said, the rules prevented more families from accessing care where it’s desperately needed. The state has lost at least three hospital labor and delivery units since 2020.

“Entire swaths of the state are maternity care deserts without access to essential health care,” said Whitney White, a staff attorney with the American Civil Liberties Union, which is representing the birth center owners and their co-plaintiff, the Alabama affiliate of the American College of Nurse-Midwives.

“Hospital labor and delivery units are closing, and pregnant folks are reporting they’re really struggling to access the care they need, struggling to get appointments, struggling to find a provider,” White said.

Last May, an Alabama trial court permanently blocked the state from regulating freestanding birth centers as hospitals. Birth center staff are still overseen by state boards of midwifery and nursing.

All three Alabama centers are now open. But their licensed midwives are delivering babies under a cloud of uncertainty about the future.

The state appealed the ruling in November. The case is ongoing.

Struggles and solutions

Bauer, of the American Association of Birth Centers, said many centers face the same financial barriers. Uncomplicated births at freestanding birth centers cost less than they do at hospitals, but research has shown that insurers, including Medicaid, reimburse centers at lower rates. Some state Medicaid programs don’t cover some of the nonclinical services, such as lactation consultants and doulas, that birth centers may provide. And malpractice premiums are rising.

“We’re volunteering our time, essentially, to keep the birth center open as a service to the community,” said Sarah Simmons, co-owner of Maple Street Birth Center in rural Okanogan County, Washington. The center can’t afford to hire a front-desk staffer or another midwife, Simmons said. She added that on average, the center makes less than a third of what the local hospital makes for providing the same obstetric service.

But there may be solutions to some of these financial problems. For example, the Center for Healthcare Quality and Payment Reform, a national health care policy center, has recommended that health insurance plans, both Medicaid and commercial, pay hospitals and birth centers monthly or quarterly “standby capacity payments” per woman of childbearing age covered by that health plan in the facility’s service area. It also recommends that plans pay a separate delivery fee for each birth.

In 2024, Democratic U.S. senators proposed a bill to allow for a similar payment model.

Standby payments could help freestanding birth centers, especially those that fill gaps in maternity care deserts — but not unless centers receive payments that are comparable to those that hospitals get, said Simmons, whose center serves four sparsely populated counties along with the Colville tribal communities.

“This would be most beneficial to freestanding birth centers if pay parity laws were enforced, so rural freestanding birth centers were paid the same rates for the same services as rural hospitals, ” she said.

State grants also can help, but birth centers say a one-time infusion won’t be enough. In 2024, Washington opened grant applications for distressed hospital labor and delivery units and freestanding birth centers.

Ashley Jones, of True North Birth Center and president of the Washington chapter of the American Association of Birth Centers, said the grant has helped keep their doors open.

Meanwhile, Chubb, the Georgia nurse, recently had to take another job to support her family while her birth center remains in legal limbo.

“I’m just waiting until the government figures out what they’re doing.”

Stateline reporter Anna Claire Vollers can be reached at avollers@stateline.org. Stateline reporter Nada Hassanein can be reached at nhassanein@stateline.org.

Quick-thinking siblings may have saved their school bus driver’s life during a medical  emergency while transporting students on Dec. 16, reported Good News Network.

According to the news report, surveillance footage from inside the Crestview Local Schools bus, shows 8-year-old Catrina seated near the school bus driver, when she began having trouble breathing. Catrina asked the driver if she was okay, and she responded by shaking her head, no, her health was in danger.

Realizing something was wrong, Catrina ran to the back of the school bus to alert her older brother, Charlie, a seventh grader. He immediately rushed to the front, grabbed the bus radio, and contacted dispatch to report the emergency. At the same time, an eighth-grade student named Kali called 911.

Emergency responders were able to assist the driver, who was hospitalized and later discharged. It is unclear what kind of medical emergency the bus driver suffered. According to local news, the driver had previously instructed her regular riders on how to use the bus radio in case of an emergency, a lesson the students remembered when it mattered most.

“When I realized that something was going on, I went up there and grabbed the radio and then called the school because I knew that was the quickest way to get help,” Charlie told local news reporters.

Catrina praised her brother’s composure in helping their school bus driver.

“My brother… on the inside when something’s going wrong, he’s scared, but on the outside, he’s calm and concentrated,” she said.

Crestview Local Schools Superintendent Jim Grubbs commended the emergency response of the student heroes in helping to save the school bus driver’s life.

“They remained calm, communicated clearly, and helped one another in a situation that could have been much worse,” Grubbs said via the article. “Their families should be incredibly proud.” School officials say the incident highlights the importance of safety training and preparedness and the powerful impact young people can have in an emergency.

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Related: Teens Hailed Heroes in Kentucky School Bus Crash
Related: New Hampshire Students Recognized for Helping Bus Driver During Medical Emergency

The post Brother and Sister Help Save School Bus Driver During Medical Emergency in Ohio appeared first on School Transportation News.

The James H. Shannon Building (Building One), on the National Institutes of Health campus in Bethesda, Maryland. (Photo by Lydia Polimeni,/National Institutes of Health)

The Trump administration will review frozen grants to universities without using its controversial standards that discouraged gender, race and sexual orientation initiatives and vaccine research.

In a settlement agreement filed in Massachusetts federal court Monday, the National Institutes of Health and a group of Democratic attorneys general who’d challenged the new criteria for grant funding said the NIH would consider grant applications made up to Sept. 29, 2025, without judging the efforts related to diversity, equity and inclusion, or DEI, or vaccines.

The settlement provides an uncontested path for the agency while courts decide whether the administration can use its controversial analysis. The administration did not agree to permanently ditch its campaign to evaluate health research funding decisions based on schools’ DEI programs.

NIH officials “will complete their consideration of the Applications in the ordinary course of NIH’s scientific review process, without applying the Challenged Directives,” the settlement said, adding that the agency would “evaluate each application individually and in good faith.”

The settlement was signed by U.S. Department of Justice lawyers and the attorneys general of Massachusetts, California, Maryland, Washington, Arizona, Colorado, Delaware, Hawaii, Minnesota, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island and Wisconsin.

In a Tuesday statement, Massachusetts Attorney General Andrea Joy Campbell said the agreement commits the Department of Health and Human Services to resume “the usual process for considering NIH grant applications on a prompt, agreed-upon timeline.” 

The 17 attorneys general sued in April over $783 million in frozen grants. 

A trial court and appeals court in Massachusetts sided with the states, but the U.S. Supreme Court ruled in August that the trial judge lacked the authority to compel the grants to be paid, especially in light of a similar decision involving the Education Department.

The federal government is suing one of the largest health systems in Wisconsin, claiming that it discriminated against an employee by denying a nurse's request for a religious exemption for receiving a COVID-19 vaccine.

The post Federal government sues Advocate Aurora Health over COVID-19 vaccine policy appeared first on WPR.

Wisconsin musician Rökker is marking the one-year anniversary of his cardiac arrest with another show at the same club. And he’s using his experience to encourage people to get trained in CPR and to advocate for more access to emergency defibrillators at performance venues.

The post After onstage heart attack, Wisconsin musician wants more venues to install defibrillators appeared first on WPR.

As winter settles over Oklahoma City, one school bus driver warms students one hand-knitted beanie at a time.

Tina Hutcherson, 63, drives for the Putnam City School District and has become a beloved figure among her students for a simple but heartfelt mission: Ensuring no child goes without a warm hat during the cold months. Her journey in student transportation began long before she ever picked up knitting needles.

She told School Transportation News that she started as a school bus driver in 2004. She had to take a small break in 2009 to care for her son but returned as a driver in 2013.

The idea of making hats came from what she witnessed each winter on her route.

“I know how cold it gets in Oklahoma, and I see some children who may not have coats, hats, etc., to keep them warm,” Hutcherson said, adding that a recent blanket giveaway inspired her to expand her efforts. “I didn’t want anyone to feel left out, so I decided to make all the students a stocking cap as well.”

Her process quickly became a collaboration with the very kids she serves. Instead of choosing colors herself, Hutcherson invites her students to design their own.

“I draw a picture of a hat and give it to the students to color over the weekend,” she said. “They bring it back to me, and I use their drawings as the design and color guide. Many of the students know exactly what colors they want.”

The project has grown far beyond her original plan.

“I’ve made about 50 or more hats so far,” she told STN. “When my middle schoolers heard about the elementary students getting hats, they asked for some too. So, I gave them hats right before Thanksgiving break.”

In addition to beanies for both elementary and middle schoolers, Hutcherson has also crocheted backpacks for students and hats for local military veterans.

The joy her students express makes every hour of work worth it.

“The kids get excited knowing they’re getting hats that morning,” she said. One student proudly wears his hat every day and makes sure Hutcherson sees it when he steps on the bus. She also received a stack of handmade thank-you cards from her elementary riders; gestures she treasures deeply.

More than warmth, Hutcherson said she hopes the children feel the intention behind each stitch.

“I hope they know I made it with love,” she said. That love, she believes, is what keeps her going. “I just love giving crochet and knitted projects to people who I feel need a little extra love. It’s my favorite hobby, and I love to put a smile on their faces!”.

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Related: Student Transporters Celebrate Holiday Season
Related: Students in Alabama Collect Christmas Gift for Local Children
Related: Kentucky School Bus Driver Gifts Pajamas to Student Onboard Bus
Related: Kansas School Bus Drivers Deliver Christmas Gifts

The post School Bus Driver Knits Beanies to Spread Warmth, Love in Oklahoma City appeared first on School Transportation News.

For the past 13 years, the Salcherts have adopted five children who have terminal prognoses. They hope to give the children love and a comforting home during their illness.

The post ‘The miracle zone’: This Wisconsin family adopts terminally ill children appeared first on WPR.

One proposal would prohibit the use of Medicaid funds to cover the cost of gender-affirming care for patients under age 18. Another would block all Medicaid and Medicare funding from hospitals that provide pediatric gender-affirming care

The post Wisconsin LGBTQ+ advocates condemn RFK Jr.’s gender-affirming care rules appeared first on WPR.

The program recently moved to a new location at the Milwaukee County Research Park, which is more than triple the size of its former facility in Greenfield.

The post Wisconsin program treating brain injuries, PTSD for veterans and first responders is expanding appeared first on WPR.

On Wednesday, MPS Superintendent Brenda Cassellius and City of Milwaukee officials announced the school district’s lead stabilization work is complete.

The post Milwaukee Public Schools completes lead remediation work across district appeared first on WPR.

With the loss of key Affordable Care Act tax credits on the horizon, some Wisconsin small business owners and their employees are scrambling to find health care as the final open enrollment deadline approaches. 

The post As ACA cliff approaches, Wisconsin small business owners, employees struggle to find affordable health care appeared first on WPR.

The state of Texas in a new lawsuit claims Verona-based Epic Systems is running an illegal monopoly and restricting parents’ access to their children’s medical records.

The post Texas sues Wisconsin-based Epic Systems, accusing it of running a monopoly appeared first on WPR.

The Food and Drug Administration on Nov. 10 stopped requiring warning labels on a range of hormone therapy treatments for women experiencing menopause and perimenopause symptoms.

The post The latest on care for women in all stages of menopause appeared first on WPR.

Wisconsin health officials say all babies should be vaccinated against hepatitis B at birth despite a recent change from federal vaccine advisers.

The post Wisconsin reaffirms support of hepatitis B vaccine for newborns, defying federal advisers appeared first on WPR.